Payments to doctors in North Dakota

Drug and device companies reported paying $11,642,998 to 3,954 doctors and practitioners with a North Dakota practice address between 2019 and 2025 — 0.1% of the national total, and 49th of 51 states.

American Factbook Research

What was reported

$11.6 million
General payments: $11,642,998; 103,904 separate payments. Meals, travel, speaking and consulting fees, gifts.; $636.0 thousand
Research payments: $636,010; Funding for studies, usually paid to an institution with a doctor named on it. Shown apart from general payments and never added to them.; 3,954
Doctors and practitioners: People CMS holds at least one reported payment for with a North Dakota address. Not a count of doctors in North Dakota, which neither source publishes — so nothing here is divided by it.; 0.1%
Share of the national total: Of $17.3 billion in general payments reported nationally.

4 more columns on a wider screen

The 10 largest recipients of general payments in North Dakota, 2019–2025
Rank	Doctor	City	Specialty	General payments
1	William Noyes	Grand Forks	Radiation Oncology	$1,856,434
2	Michael Greenwood	West Fargo	Ophthalmology	$500,000
3	Nayan Desai	Bismarck	Interventional Cardiology	$412,710
4	Hani Malone	Fargo	Neurological Surgery	$315,080
5	Richard Vetter	West Fargo	Family Medicine	$293,981
6	Imran Aslam	Bismarck	Dermatology	$280,487
7	Emily Greenstein	Fargo	Nurse Practitioner	$270,985
8	Brooke Messer	West Fargo	Optometrist	$263,040
9	Thomas Thorson	Mandan	Family Medicine	$240,871
10	Gregory Greek	Grand Forks	Family Medicine	$215,900

Ranked within North Dakota, by general payments only. Research funding and ownership interests are separate transactions with separate meanings and are not added in — a doctor with a large research grant and no meals is not on this list. Every doctor in the record lists the rest.

What North Dakota’s doctors prescribed under Medicare

A second CMS file records what doctors prescribed rather than what they were paid. In 2024, 3,599 prescribers with a North Dakota address filled 4,385,406 Medicare Part D prescriptions costing $557,908,376 — 0.2% of the $288.4 billion Medicare paid nationally. None of that money went to the doctors. It is what Medicare, its plans and patients paid pharmacies for what they wrote.

4,385,406
Prescriptions filled: Claims, counting every refill. 2024 only, not the period above.; $557.9 million
What the drugs cost: $557,908,376; Paid to pharmacies by Medicare, its plans and patients. Not income for any doctor.; 3,599
Prescribers: People CMS published a Part D row for. CMS drops a prescriber-drug row under eleven claims, so a doctor who prescribed little of everything is not here — and this is not a count of doctors in North Dakota.; 127,352
Opioid prescriptions: Of 59,133,014 nationally. CMS withheld the opioid count from 350,416 prescribers, so this is a floor rather than a total.

The state is the practice address CMS holds for the prescriber, not where the patient lives or the pharmacy stands. Unlike the payment figures above, every Part D claim is attributed to a state, so these rows do add up to the national total — the gap described further down this page is an Open Payments gap and not this one. Prescribers ranked by claims, by what their prescriptions cost and by opioid claims are national lists.

North Dakota elsewhere on the Factbook

Reported crimeCrime and justice
Offenses reported to police by type, the trend, and the reporting coverage.
Cities by violent crime rateCrime and justice
What each agency serving 25,000 or more reported, ranked. Agency populations overlap, so these do not add up to the state.
Prison populationCrime and justice
People held under the state’s correctional authority, and the imprisonment rate. A different publisher counting a different thing.
Arrests by race, sex and ageCrime and justice
Arrests as the FBI’s participating agencies reported them, with what the figures can and cannot support at the top.
Hate crimeCrime and justice
Incidents reported to the FBI by bias motivation, as counts — the collection publishes no participation share, so there is no rate to compare states on.
Federal obligationsFederal spending
What federal agencies obligated against a place of performance in the state, per resident and by agency.
Registered nonprofitsNonprofits
How many organizations the IRS lists in the state, what they report as revenue, and which kinds of work they do.
Farm program paymentsFarm subsidies
What the Farm Service Agency paid through the state’s county offices, by program and by recipient. The offices that administered the payments, not a count of farms: a recipient addressed elsewhere is counted where they were paid.
The North Dakota Factbook entryAcross the Factbook
Every measure the Factbook publishes for this state in one place, each with where it ranks among the others and the record it came from.

The immigration hub has no page for this state: EOIR runs no immigration court here, and CBP publishes by sector and field office, which are its own areas of responsibility rather than a geography. Immigration and the border.

What this page does not show

Where the work happened. The state is the practice address CMS holds for the doctor, not the place the payment was earned or the patient was seen.
Doctors CMS holds no state for. 435 of 1,693,971 profiles carry no state, holding $3,697,188 in general payments. They are in the national total and on no state page, which is why the 51 state pages do not sum to it.
Anything about influence. A payment can be a research grant, a royalty on a patent, a speaking fee or a meal. The record says what was paid and by whom, and this page makes no claim beyond that.

Data retrieved September 22, 2026

Sources

Open Payments — payments grouped by physician — Centers for Medicare & Medicaid Services · U.S. Government work · retrieved September 22, 2026
Medicare Part D Prescribers — by provider · U.S. Government work